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    Paolo Bertrando

    Over a four year period, the Schizophrenia Research Association (A.R.S. - Associazione Ricerche sulla Schizofrenia) has drawn up a multi-dimensional plan of action for the families of schizophrenic subjects. The basic points of this plan... more
    Over a four year period, the Schizophrenia Research Association (A.R.S. - Associazione Ricerche sulla Schizofrenia) has drawn up a multi-dimensional plan of action for the families of schizophrenic subjects. The basic points of this plan revolve around advice to the family and group therapy for family members, split into "informative" and "relationship orientation" sessions. Conducting an assessment of Expressed Emotion on family members admitted to these groups, it was observed that their emotional make-up is very different from that of family members of schizophrenics selected on the basis of casual criteria. Therefore, we are proposing a strategy which takes into account the emotional make-up of the family member in dictating therapists' action in terms of each family member.
    The authors present data from an experimental study conducted on 20 institutionalized mentally handicapped adult patients. Relevant family variables were investigated by means of the Expressed Emotion (EE) scales, then compared with... more
    The authors present data from an experimental study conducted on 20 institutionalized mentally handicapped adult patients. Relevant family variables were investigated by means of the Expressed Emotion (EE) scales, then compared with similar variables obtained in a matched sample of 20 schizophrenic patients and their families. Results show, in relatives of mentally handicapped patients, a higher rate of Warmth than in relatives of schizophrenics (p = 0.009), while other EE scales appear to reach similar values in both groups. Within the mentally handicapped family group, a higher rate of Emotional Over-involvement (p = 0.046) is shown by relatives of patients treated with neuroleptic drugs. The presence of high Warmth and Emotional Over-involvement, together with low Criticism and Hostility, may be interpreted as adaptation by the families to an organic disease with very early onset, clearer ad less rejecting than schizophrenia.
    Expressed Emotion (EE) is a method of assessing the emotional make-up of a family, widely used in English-speaking countries, with particular reference to schizophrenia. This research programme arose out of a trial application of EE to a... more
    Expressed Emotion (EE) is a method of assessing the emotional make-up of a family, widely used in English-speaking countries, with particular reference to schizophrenia. This research programme arose out of a trial application of EE to a group of Italian families. Data are given here relative to a sample of 19 families with a schizophrenic member (according to DSM III criteria). The results confirm the hypothesised correlation between family EE and recidivist symptomatology of schizophrenic subjects: "high family EE" is associated with the most serious and habitual schizophrenic cases. The necessary adaptations which had to be made in order to apply EE assessment methods to Italian families are also discussed.
    The Expressed Emotion (EE) index is today one of the most important tools to evaluate the effect of family environment on the course of schizophrenia. The A. critically examine many experimental researches, performed on the EE index... more
    The Expressed Emotion (EE) index is today one of the most important tools to evaluate the effect of family environment on the course of schizophrenia. The A. critically examine many experimental researches, performed on the EE index during the past 15 years, reporting the results of the first Italian replication study. The psychoeducational family interventions (originated by the EE research) are then considered, with particular attention to the treatment conceived by the team of the Association for the Research on Schizophrenia (A.R.S.). In the final section of the paper, the A. propose an extension of the EE research to families with chronic organic pathologies, reporting some preliminary results.
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    La posizione reciproca di terapeuti e pazienti e da sempre oggetto di attenzione nella terapia sistemica. Altri modelli terapeutici danno invece mag- giore centralita alla consapevolezza emotiva. Questo articolo propone un’inte- grazione... more
    La posizione reciproca di terapeuti e pazienti e da sempre oggetto di attenzione nella terapia sistemica. Altri modelli terapeutici danno invece mag- giore centralita alla consapevolezza emotiva. Questo articolo propone un’inte- grazione tra i due concetti. Abbiamo definito tale integrazione "situarsi". Riteniamo che, attraverso la lente del situarsi, il terapeuta possa acquisire una migliore comprensione dei dilemmi e delle difficolta nella vita relazionale dei pazienti, oltre ad avere a disposizione un utile strumento per orientare la pro- pria attivita clinica. I diversi modi di usare il situarsi in terapia sono descritti attraverso l’analisi di un caso clinico.
    Several psychotherapy and family therapy models emphasise work on emotions, both as emotional awareness and transference analysis. Systemic therapy has developed in time a peculiar emphasis on the therapist's position, and on... more
    Several psychotherapy and family therapy models emphasise work on emotions, both as emotional awareness and transference analysis. Systemic therapy has developed in time a peculiar emphasis on the therapist's position, and on therapists’ and clients’ reciprocal positioning. In the present article we propose to integrate the dimensions of emotions and positioning through a concept we define as ‘finding one's place’. Finding one's place can be considered as a universal positioning activity of anybody involved in any human interaction, involving different domains: macro‐context, group, mutual relationships, internal dialogue. It entails an integration of these domains through an increased awareness of one's position inside relevant systems, and emotional interaction.Practitioner points Clinicians usually consider positioning and emotions as separate domains for evaluation and intervention The integration of the two domains allows a deeper, three‐dimensional view of ther...
    La posizione reciproca di terapeuti e pazienti e da sempre oggetto di attenzione nella terapia sistemica. Altri modelli terapeutici danno invece mag- giore centralita alla consapevolezza emotiva. Questo articolo propone un’inte- grazione... more
    La posizione reciproca di terapeuti e pazienti e da sempre oggetto di attenzione nella terapia sistemica. Altri modelli terapeutici danno invece mag- giore centralita alla consapevolezza emotiva. Questo articolo propone un’inte- grazione tra i due concetti. Abbiamo definito tale integrazione "situarsi". Riteniamo che, attraverso la lente del situarsi, il terapeuta possa acquisire una migliore comprensione dei dilemmi e delle difficolta nella vita relazionale dei pazienti, oltre ad avere a disposizione un utile strumento per orientare la pro- pria attivita clinica. I diversi modi di usare il situarsi in terapia sono descritti attraverso l’analisi di un caso clinico.
    The Luria-Nebraska Neuropsychological Battery was administered to 22 patients with ascertained multiple sclerosis. The result is tht in these patients a brain damage exists in 54.5% of cases, but without preferential localization of the... more
    The Luria-Nebraska Neuropsychological Battery was administered to 22 patients with ascertained multiple sclerosis. The result is tht in these patients a brain damage exists in 54.5% of cases, but without preferential localization of the damage. Furthermore, the damage is not significantly correlated to four clinical parameters of the illness: age of the patient, age of the onset of the illness, duration of the illness and disability level.
    The treatment of neoplastic patients in a terminal stage causes the surgeon who takes them in charge several problems, many of which are of a psychological nature. Such problems can be summarized as concerning the psychological attitude... more
    The treatment of neoplastic patients in a terminal stage causes the surgeon who takes them in charge several problems, many of which are of a psychological nature. Such problems can be summarized as concerning the psychological attitude of the patient, the relationship between the patient and his family and the relationship between the patient and the hospital. These problems, together with others more specifically linked to the nature of the neoplastic disease, are not often easy to be solved by the single physician. Therefore, we propose to set up "Multidisciplinary groups for the study of untreatable neoplastic diseases", in order to assist the surgeon in the treatment of the last stages of the disease.
    Dottorato di ricerca in psichiatria e scienze relazionali. 3. ciclo. A.a. 1986-90. Coordinatore A. Mangoni. Docente guida C. L. CazzulloConsiglio Nazionale delle Ricerche - Biblioteca Centrale - P.le Aldo Moro, 7, Rome; Biblioteca... more
    Dottorato di ricerca in psichiatria e scienze relazionali. 3. ciclo. A.a. 1986-90. Coordinatore A. Mangoni. Docente guida C. L. CazzulloConsiglio Nazionale delle Ricerche - Biblioteca Centrale - P.le Aldo Moro, 7, Rome; Biblioteca Nazionale Centrale - P.za Cavalleggeri, 1, Florence / CNR - Consiglio Nazionale delle RichercheSIGLEITItal

    And 75 more